Strokes
What is the first priority when a patient shows signs of a stroke?
Activate stroke code and prepare for immediate CT scan
Which assessment finding is a red flag for increased intracranial pressure?
Nausea and Vomitting
What is the hallmark first symptom of Parkinson’s disease?
Resting Tremors
A "curtain over the visual field" is classic for:
Retinal detachment
What is the most common location for a gout attack?
The BIG toe
What imaging study must be performed immediately to differentiate types of stroke?
CT Scan
What are common triggers for migraines? (List 2)
Stress, Bright lights, Certain foods (chocolate, cheese, wine), Hormonal changes, Lack of sleep
What neurotransmitter is decreased in Alzheimer’s disease?
Acetylcholine
Which type of hearing loss is caused by damage to the inner ear or auditory nerve?
Sensorineural hearing loss
What is the difference between osteoarthritis and rheumatoid arthritis in joint involvement?
Osteoarthritis: Asymmetrical joint involvement
Rheumatoid arthritis: Symmetrical joint involvement
Which lab value would contraindicate the use of tPA?
High PT/INR
What type of seizure is characterized by sudden brief staring spells?
Absence seizures
What is the most concerning complication of Parkinson’s disease related to mobility?
Risk of falls
What are three classic symptoms of Meniere’s disease?
Vertigo, tinnitus, and hearing loss.
After a hip replacement, what movements should the patient avoid? (List 3)
Bending hip more than 90 degrees, Crossing legs, Twisting torso
A patient with atrial fibrillation is at high risk for which type of stroke?
Embolic ischemic
What safety precaution is most important during a tonic-clonic seizure?
Turn patient to side to protect airway and prevent aspiration
What is the purpose of a deep brain stimulator in Parkinson’s disease?
Reduce tremors and improve motor control
What are key patient education points for cochlear implants? (List 4)
Keep dry, Avoid MRI unless device safe, Charge/maintain batteries, Learn that hearing improvement is gradual.
What symptom would indicate a hip dislocation after surgery?
Shortened limb, External rotation, Severe hip pain
In an ischemic stroke, why is slightly elevated blood pressure acceptable?
Promote brain profusion
What medication is used to abort status epilepticus?
Lorazepam (Ativan)
What is the gold standard medication for Parkinson’s disease?
Levodopa/Carbidopa
What is the purpose of timolol eye drops in glaucoma?
Decrease intraocular pressure by reducing aqueous humor production.
What lifestyle advice should be given to prevent future gout attacks? (List 4)
Low-purine diet, Increase hydration, Avoid alcohol, Weight management